Bobby Bongam
Bobby Bongam is a Case Management Agency in Washington, District of Columbia. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
2934 Vista St NEWashington, DC 20018-2636
Phone: (202) 423-5599
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
| Home Health Aide | Taxonomy 374U00000X |
Record details
| NPI number | 1558761593 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 27, 2014 |
| Last updated in NPPES | February 26, 2025 |
| Certification date | February 26, 2025 |
| Mailing address | 2934 Vista St Ne, Washington, DC 20018-2636 |
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